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What are the OT's thoughts on fibromyalgia?
Posted on 9/29/14 at 11:49 am
Posted on 9/29/14 at 11:49 am
Do you or a loved one suffer from it? Is it real? Is it something doctors diagnose when they don't know what else to do? Why do middle class white women seem to be the only demographic to suffer from this terrible disease?
Posted on 9/29/14 at 11:50 am to GreatLakesTiger24
quote:
fibromyalgia
isn't this the chick in one of the waffle house fight videos?
Posted on 9/29/14 at 11:51 am to GreatLakesTiger24
It's a bullshite diagnosis given when something "concrete" cannot be found to explain a patient's complaints.
There's a mental health aspect to it, likely depression (one of the main ingredients in Lyrica is an anti-depressant).
The vast majority of "sufferers" are pre-menopausal women.
There's a mental health aspect to it, likely depression (one of the main ingredients in Lyrica is an anti-depressant).
The vast majority of "sufferers" are pre-menopausal women.
Posted on 9/29/14 at 11:54 am to GreatLakesTiger24
it is a fat persons bodies way of telling them that their body cannot support their fat body.
body.
body.
Posted on 9/29/14 at 11:55 am to udtiger
I think fibromyalgia is the new word for lazy. Kind of like Native Americans for Indians.
Posted on 9/29/14 at 11:56 am to GreatLakesTiger24
quote:
Why do middle class white women seem to be the only demographic to suffer from this terrible disease?
I think I know where youre headed here
This post was edited on 9/29/14 at 11:56 am
Posted on 9/29/14 at 12:03 pm to GreatLakesTiger24
Fibromyalgia is something I've only seen in someone with an already diagnosed underlying psych disorder, usually bipolar, and only in women. Take that for what it's worth.
Posted on 9/29/14 at 12:04 pm to GreatLakesTiger24
Whiny White Woman Syndrome
Posted on 9/29/14 at 12:05 pm to udtiger
quote:
There's a mental health aspect to it, likely depression
agree
quote:
(one of the main ingredients in Lyrica is an anti-depressant)
nope. gabapentin is not an AD, not even off-label
Posted on 9/29/14 at 12:10 pm to GreatLakesTiger24
When I was single one of my rules if I started dating someone and they said they had fibromyalgia was to end that relationship as quickly as possible!
Posted on 9/29/14 at 12:11 pm to diplip
Actually Gabapentin/Neurontin is used for a mood stabilizer, but it is a fairly poor one. It is more so used for Restless Legs Syndrome or other sleep disorders. A number of meds have multiple uses.
As to the issue of fibromyalgia, speaking as a clinician with a little over three decades of experience, the only cases I have seen come through the door with this diagnosis are females. In terms of the actually professional literature, it is VERY mixed as to validity of the disorder. Yes, there is generally a stress or depression related component in there somewhere. Personally, I have never made the diagnosis, opting instead to look at the psychological components in these cases.
As to the issue of fibromyalgia, speaking as a clinician with a little over three decades of experience, the only cases I have seen come through the door with this diagnosis are females. In terms of the actually professional literature, it is VERY mixed as to validity of the disorder. Yes, there is generally a stress or depression related component in there somewhere. Personally, I have never made the diagnosis, opting instead to look at the psychological components in these cases.
Posted on 9/29/14 at 12:13 pm to damnedoldtigah
quote:
Actually Gabapentin/Neurontin is used for a mood stabilizer
sure. but it is not an anti-depressant. it is primarily used for neuropathy due to diabetes complications/shingles
Posted on 9/29/14 at 12:14 pm to GreatLakesTiger24
Morgan Freeman has Fibromyalgia. Has had it for years. Drives him crazy with arm pain. When he is not working he wears a stretch fabric compression sleeve on the arm.
IMO, if you have it, it is real.
IMO, if you have it, it is real.
Posted on 9/29/14 at 12:15 pm to damnedoldtigah
quote:
Yes, there is generally a stress or depression related component in there somewhere. Personally, I have never made the diagnosis, opting instead to look at the psychological components in these cases.
So you're thinking like I am that this is a bs diagnosis?
And Heyy :)
Posted on 9/29/14 at 12:15 pm to GreatLakesTiger24
When the pill mills were running strong here in FL it seemed many people were afflicted with the illness. Now that the crackdown has taken place I don't see many people with that diagnosis any more.
Posted on 9/29/14 at 12:21 pm to diplip
quote:
gabapentin is not an AD, not even off-label
Lyrica is pregabalin
Pregabalin (Lyrica)Prescription drugConsult a doctor if you have a medical concern.Legal status: Schedule V controlled substance, Schedule IV controlled substance
Posted on 9/29/14 at 12:29 pm to wiltznucs
My Mother in Law claims she has it. My wife who is a CRNA, rolls her eyes anytime her mom mentions it. Regarding the psychological aspect, I would tend to agree with it since my MIL can be batshit crazy in regards to certain subjects and interactions. To the point where my wife will go months without speaking to her.
Posted on 9/29/14 at 12:37 pm to GreatLakesTiger24
I'm not a believer and I think it is a cop-out diagnosis. Imo it's a way to please a concerned patient by telling them something is wrong. I know people who have complaints that fit these symptoms, everyone gets them from time to time. The symptoms are most likely caused by a lack of sleep. Studies have shown the symptoms occur in people not diagnosed with fibromyalgia when their sleep is interrupted. These conditions become chronic when sleep patterns become consistent with sleep interruptions becoming habitual.
The difference in diagnosis rates between sexes is related to the general differences in how each sex deals with their problems. Men will ignore the problem or deal with it internally, women tend to deal with it externally like talking to others (in this case a doctor) about it. I don't fault either side for doing it different ways bc that's how we are hard-wired.
Basically I think the problem would be solved if people took sleep more seriously and prepared for sleep in ways to promote healthy sleeping habits.
EDIT: and I don't want to fault anyone who has it, you aren't wrong to be concerned and the conditions do exist, but you are normal like everyone else and need healthy sleep for a healthy body and mind. No real condition exists that separates your experience from others, if it follows the general diagnosis of fibromyalgia. Of course consult a doctor if the symptoms are much more serious.
The difference in diagnosis rates between sexes is related to the general differences in how each sex deals with their problems. Men will ignore the problem or deal with it internally, women tend to deal with it externally like talking to others (in this case a doctor) about it. I don't fault either side for doing it different ways bc that's how we are hard-wired.
Basically I think the problem would be solved if people took sleep more seriously and prepared for sleep in ways to promote healthy sleeping habits.
EDIT: and I don't want to fault anyone who has it, you aren't wrong to be concerned and the conditions do exist, but you are normal like everyone else and need healthy sleep for a healthy body and mind. No real condition exists that separates your experience from others, if it follows the general diagnosis of fibromyalgia. Of course consult a doctor if the symptoms are much more serious.
This post was edited on 9/29/14 at 12:41 pm
Posted on 9/29/14 at 12:40 pm to GreatLakesTiger24
Fibromyalgia is a buzz word that instantly alerts clinicians to the fact that the patient is either crazy, has a mood disorder, addicted to pain medicine, or all of the above. Another neat trick is to inquire about allergies. Often patients with fibromyalgia will have 5 or more medical "allergies", many of which may be to less potent narcotic analgesics. (i.e. "Only Dilaudid works for me"). Most will always complain of vague abdominal pain and have had most or all of their optional internal organs removed (appendix, gall bladder, uterus, ovaries) often with little clinical indication.
In summation, fibromyalgia is a garbage-can diagnosis and one of exclusion. They often make for the worst patients and their pain is difficult to control.
In summation, fibromyalgia is a garbage-can diagnosis and one of exclusion. They often make for the worst patients and their pain is difficult to control.
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